Ultrasound for central venous cannulation: economic evaluation of cost‐effectiveness

Anaesthesia - Tập 59 Số 11 - Trang 1116-1120 - 2004
N. Calvert1, Daniel Hind1, R.G. McWilliams2, Andrew H. Davidson3, Catherine Beverley4, SM Thomas5
1Research Fellow.
2Consultant Radiologist, Royal Liverpool University Hospital, Prescot Street, Liverpool, L7 8XP, UK
3Consultant Anaesthetist, Sheffield Teaching Hospitals NHS Trust, The Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, UK
4Information Officer, School of Health and Related Research (ScHARR), Regent Court, Regent Street, Sheffield, S1 4DA, UK
5Senior Lecturer, Department of Academic Radiology, University of Sheffield, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK

Tóm tắt

SummaryWe compared the economics of using two‐dimensional ultrasound locating devices and more traditional landmark methods for central venous cannulation in the National Health Service (NHS). The evaluation consisted of a systematic review of randomised controlled trials and an economic evaluation using decision analytic cost‐effectiveness modelling. Incremental costs per complication avoided associated with landmark and ultrasound central venous cannulation were modelled for patients scheduled for central venous cannulation. The marginal economic cost of using ultrasound for central venous cannulation was less than £10 per procedure, assuming that a machine is used for 15 procedures each week. The base case scenario implied that £2000 worth of resource savings result for every 1000 procedures undertaken and 90 avoided complications. Sensitivity analysis indicated that the results of modelling appear robust to the central assumptions used. Ultrasound guidance used in central venous cannulation procedures saves NHS resources even with conservative modelling assumptions.

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Thông tin xuất bản

Anaesthesia

Tập 59 Số 11

1116-1120

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